| dc.description.abstract | In our fast-changing world, management and marketing acquire a strategic relevance. They
become an important reference and support when it comes to making healthcare more effective,
efficient, and sustainable. A key contribution in achieving these goals is played by a systems
governance and management of healthcare (Pollard, 2016); hence, by the adoption of a systems
approach (Golinelli, 2000, 2010; Barile 2000, 2009).
Due to an ageing population and the growing number of patients with comorbidity, the
number of patients with chronical illnesses (for which there may not be a cure) is growing.
This situation highlights the need to define governance policies capable of ensuring the
sustainable development of the economic and social system through appropriate forms of
organization.
In this problematic context, a need to understand and interpret the complexity of service
systems and social phenomena using general schemes of interpretation, arises. Essentially, the
complex goal is to balance the effectiveness, efficiency and sustainability of service in the
governance of the healthcare system (Saviano, Bassano, & Calabrese, 2010). Accordingly, this
study aims to investigate the evolutionary trend of change that the Italian Healthcare System is
facing now in order to make healthcare service more effective, efficient and sustainable using
the lens of systems thinking as a valid interpretative support of complex phenomena.
On the basis of this premise and considering the widely agreed need of increasing
community care, especially experienced during the COVID-19 pandemic, more specifically,
this work aims to investigate the conditions of the effectiveness, efficiency, sustainability, and
also safety, of healthcare services while shifting from the hospital setting to community and
home care.
This shift is rich of implications and, although hospital care is in actual fact the highest level
of assistance in both structural and organizational terms, it may result much more complex to
effectively, efficiently and sustainably organize care at a community and home care, given the
need of integrating many diverse systems components. [...] [edited by Author] | it_IT |
